Financial Funders Unlimited

FINANCIAL STATEMENTS

PERSONAL FINANCIAL STATEMENT

INSTRUCTIONS: COMPLETE ALL ITEMS. PROVIDE DETAIL ON SCHEDULES. IF NOT IN BUSINESS FOR SELF OMIT THAT SECTION.

APPLICANT'S NAME: *

SPOUSE'S NAME:

PERSONAL ASSESTS:

DESCRIPTION: PRESENT VALUE:

CASH IN ALL BANKS (SCHED 1): *

NOTES DUE YOU (SCHED 2): *

STOCKS AND BONDS (SCHED 3): *

PERSONAL REAL ESTATE (SCHED 4): *

LIFE INSURANCE CASH VALUE (SCHED 5): *

PERSONAL HOUSEHOLD ITEM (SCHED 6): *

CARS, TRUCKS, ETC. (SCHED 7): *

OTHER:

TOTAL PERSONAL ASSETS:$ *

PERSONAL LIABILITIES

DESCRIPTION: PRESENT BALANCE:

LOANS PAYABLE ALL BANKS (SCHED 8): *

PERSONAL BILLS DUE (ESTIMATE OK): *

CREDIT CARD BALANCES (SCHED 10): *

MORTGAGES PAYABLE (SCHED 4): *

TAXES DUE (SCHED 9): *

OTHER: *

TOTAL PERSONAL LIABILITIES: $ *

PERSONAL NET WORTH: $ (ASSETS-LIABILITIES) *

BUSINESS FINANCIAL STATEMENT

INSTRUCTIONS: OPTIONAL SECTION. COMPLETE IF IN BUSINESS FOR SELF. INCLUDE SUPPORTING DATA ON SEPARATE LINES.

BUSINESS ASSETS:

DESCRIPTION PRESENT VALUE

BUSINESS NAME:

TAX ID#:

CASH IN ALL BANKS:

ACCOUNTS RECEIVABLE:

NOTES RECEIVABLE:

BUSINESS REAL ESTATE:

FURNITURE AND EQUIPMENT:

INVENTORY AND SUPPLIES:

PRE-PAID EXPENSES:

OTHER:

TOTAL BUSINESS ASSETS:$ COMBINED PERSONAL AND BUSINESS NET WORTH (PERSONAL NET WORTH + BUSINESS NET WORTH)

BUSINSES LIABILITIES

DESCRIPTION PRESENT BALANCE

LOANS PAYABLE ALL BANKS:

ACCOUNTS PAYABLE:

TAXES DUE:

MORTGAGES PAYABLE:

LEASES PAYABLE:

OTHER:

TOTAL BUSINESS LIABILITIES: $

BUSINESS NET WORTH: $ (ASSETS-LIABILITIES)

SIGNATURE(S):

DATE:

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